NPI | 1699330605 |
---|---|
Doing Business As | GUARDIAN NEW JERSEY |
Entity Type | Organization |
Authorized Contact | JOSH SCOTT Executive 954-678-0078 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-05-06 |
Last Update Date | 2024-07-30 |