| NPI | 1447313861 |
|---|---|
| Former Legal Business Name | OUTPATIENT SUBSTANCE ABUSE TREATMENT FACILITY |
| Entity Type | Organization |
| Authorized Contact | GLENN DUNCAN Executive Director 908-788-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000184) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-01-06 |