| NPI | 1689160103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN CRATCH Administrator 862-253-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000689) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-03-03 |