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 |