| NPI | 1639659899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE POOLEY CFO 856-475-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NJ 301309) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-10-18 |