| NPI | 1871116517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR SANDHU CEO 201-284-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-07-01 |