| NPI | 1891865549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN F. ILLGE Executive Director 973-777-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 22306) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |