| NPI | 1790164143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI KUMAR Director Of Billing 732-210-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2020-06-12 |