| NPI | 1487147351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GEORGIOU MIS Director 973-673-3342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 2000338) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |