| NPI | 1366940652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON ANTON LONG President 609-394-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000654) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |