| NPI | 1588905947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL P IFTODE Director 862-414-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000517-11) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2016-04-20 |