| NPI | 1558643619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA WALTON Executive Director 201-332-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 200515-11) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 200515-11) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-15 |