| NPI | 1548517089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SNYDER CEO 856-534-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2015-06-01 |