| NPI | 1699082164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KOMISSARENKO President/ CEO 732-709-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000437-09) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |