| NPI | 1477317105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DUFORD Executive Director 856-952-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-03-20 |