| NPI | 1679241350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GUAGE-ALIPERTI Lcadc 732-778-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |