| NPI | 1689450371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BEECROFT COO 856-649-4598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-06-20 |