| NPI | 1912793506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTOR DUBINSKIY President 732-616-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |