| NPI | 1649081548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN GERSHMAN Senior Consultant 609-703-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-07-14 |