| NPI | 1407226434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT COCCIA CEO 856-889-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-08-21 |