| NPI | 1629362801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA Y OHLIG Director Of Operations 856-240-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NJ 200049111) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2011-06-05 |