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 |