| NPI | 1639811466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KING Chief Operating Officer 609-428-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |