| NPI | 1740169663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SILVERMAN Owner 201-401-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-11-11 |