| NPI | 1356563845 |
|---|---|
| Other Name | MONSIGNOR WALL SOCIAL SERVICE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID J MACTAS Executive Director 973-345-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: NJ 22540) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |