| NPI | 1811406135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUDI ALTER CEO 732-305-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 2203783539) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA BH0012005) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-02-25 |