| NPI | 1649954470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT SCHAEFER Executive Director 908-510-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-08-25 |