NPI | 1780015412 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINETTA SEROTTE Adminstrator/Owner 609-872-8021 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
Enumeration Date | 2013-12-05 |
Last Update Date | 2023-05-30 |