| NPI | 1598006850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HARRISON Manager 732-747-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 25MA08900700) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |