| NPI | 1619740107 |
|---|---|
| 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 |