| NPI | 1902000540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN OERTEL Owner 908-704-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 2000133-06) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NJ 2000133-06) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-10-13 |