| NPI | 1629468004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALLEN Mbr 609-651-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000534) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-29 |