NPI | 1669229118 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN JOSEPH BEECROFT Administrator Of Facility/COO 856-649-4598 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-05-02 |