| NPI | 1487771341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH H MARTINEZ President & CEO 732-380-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000002-04) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2017-03-13 |