| NPI | 1447805114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KIKER CEO 856-498-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-10-16 |