| NPI | 1669736757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REJA BOOKER COO 856-912-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 200043812) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 200043812) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2025-01-16 |