| NPI | 1356855175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN OERTEL Executive Director 908-704-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2000133) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 2000133) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |