| NPI | 1811416688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ELLIOTT BETNER CEO 856-579-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 101979) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 101979) |
| 251S00000X (Licence: NJ 101979) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 101979) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |