| NPI | 1841629094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PETER FRAGIACOMO Business Consultant 862-754-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |