| NPI | 1619489366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY KOGUC CEO 609-289-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2025-09-05 |