| NPI | 1659732410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCKY MERLIN Medical Director 908-720-5296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 25MA06872200) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-03-04 |