| NPI | 1639697782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DESIMONE Founder/CEO 856-217-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2018-09-21 |