| NPI | 1871146498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE NELSON Executive Director 201-200-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |