| NPI | 1538489950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HUGHES Director 856-583-2220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000469-10) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000049) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |