| NPI | 1831637354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BEDWARD Director 856-441-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NJ 2000019-05) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-07-29 |