| NPI | 1396249264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA WOOTEN Director Of Billing Services 973-623-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000074) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-01-19 |