| NPI | 1679050900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ROBERT MCCLOSKEY CEO 609-206-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA CW01696) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |