| NPI | 1366853954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KEEN Chief Clinical & Operating Officer 609-404-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: VA 71406001) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-04-24 |