| NPI | 1811460165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITO ANDRISANI Executive Vice President 973-523-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2021-04-12 |