NPI | 1700564473 |
---|---|
Entity Type | Organization |
Authorized Contact | HUDI ALTER CEO 732-967-2635 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-07-11 |
Last Update Date | 2024-10-28 |