| NPI | 1801465794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SIMON Owner 856-200-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-07-03 |