| NPI | 1760812721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA S KHAWAJA President 973-799-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 2000172) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2020-04-21 |