| NPI | 1801915848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LUTOMSKI Executive Director 732-246-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 10CC00056100) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-01-25 |