| NPI | 1912475534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL REGAN Owner/CEO 732-962-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-10-26 |