| NPI | 1841480423 |
|---|---|
| Other Name | NEW JERSEY DAY REPORTING CENTER |
| Entity Type | Organization |
| Authorized Contact | NATHAN RUSSELL PROVOST Controller 860-539-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-11-01 |