| NPI | 1740822121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ROLON President 609-665-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2024-03-08 |