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 |