NPI | 1619740107 |
---|---|
Doing Business As | ENTERPRISE ALLIANCE GROUP DBA INTERVENTION SPECIAL |
Doing Business As | INTERVENTION SPECIALISTS |
Entity Type | Organization |
Authorized Contact | ED MANN Clinical Director 908-289-0700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |