| NPI | 1649904772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL ANICETTE Medical Director 973-234-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261Q00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |