| NPI | 1811390867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA SANDHU Manager 201-600-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD719901) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2016-11-22 |