| NPI | 1851874291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEEN F BRADLEY Executive Director 732-828-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |