| NPI | 1821507625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA WINSLOW C.E.O. 201-766-6617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000567) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |