NPI | 1881954865 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBYN TANIS Executive Director Of Contract Mgmt 856-533-8762 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QR0800X Clinic/Center, Recovery Care | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2021-09-21 |