| NPI | 1780188060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE VANORE CAO 732-458-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000557) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-03-06 |