| NPI | 1659949501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA E SANDERSON Chief Administrative Officer 732-996-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-03-18 |