| NPI | 1760901623 |
|---|---|
| Doing Business As | PRODIGAL SONS AND DAUGHTERS BEHAVIORAL HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | HENRY DUANE MUHAMMAD-HAMILTON Founder/CEO 973-678-3966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 100230104) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 2000609) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-06-16 |