| NPI | 1558830281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA WOOTEN Director Of Billing Services 973-623-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-05-05 |