| NPI | 1639546930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GORE Lcadc 973-454-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NJ 37LC00233200) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NJ 37LC00233200) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |