NPI | 1437502317 |
---|---|
Entity Type | Organization |
Authorized Contact | MALIK M CAREY CEO 973-251-2874 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2016-07-15 |
Last Update Date | 2025-05-13 |