| NPI | 1619488541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GORE Executive Director 973-454-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 37PC00590800) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 37LC00233200) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2019-10-18 |