| NPI | 1548272099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M THOMPSON Operations Director 908-372-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000191) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 2000191) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 2000191) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 2000191) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000191) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-06-27 |