| NPI | 1568877561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KEANE Owner 908-783-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 10D2076037) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |