| NPI | 1912454885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUR AZIM Owner 732-925-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00153200) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |