| NPI | 1659085645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON D SNELLBAKER Billing Supervisor 609-457-0467 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-17 |