| NPI | 1922217322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY CARTER Executive Director 856-794-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000007-07) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-08-05 |