| NPI | 1710498829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHNSON Executive Director 973-677-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 2000623) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |