| NPI | 1801421649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANGELO Reimbursement Director 609-270-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2025-09-11 |