| NPI | 1780291542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D. RIEGER CEO 908-647-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |