| NPI | 1861925828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YEADON COO/CFO 973-650-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000583) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |