| NPI | 1366735821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETRU E IFTODE Director 201-678-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NJ 2000503-11) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2013-12-23 |