| NPI | 1750376133 |
|---|---|
| Former Legal Business Name | JERSEY SHORE ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | DIANE VILLARI Deputy Executive/COO 732-988-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 41340) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2023-10-24 |