| NPI | 1548083322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PENA Billing 973-986-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2025-09-30 |