| NPI | 1538530456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHE DELLA BADIA Administrative Assistant 732-247-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000163) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2022-08-09 |