| NPI | 1427940378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED LEVY COO 856-227-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |