| NPI | 1679906465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY POLITO CEO 973-879-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000569) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |