| NPI | 1912101445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL IFTODE Executive Director 201-678-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |