| NPI | 1467748012 |
|---|---|
| Doing Business As | DETOX/ LONG TERM |
| Entity Type | Organization |
| Authorized Contact | DAVID J MACTAS Executive Director 973-345-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000065) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |