NPI | 1649978669 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN TANIS Executive Director Of Contract Mgmt 856-533-8762 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-02-20 |