| NPI | 1922486794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCRAPE Director Of Finance & Controller 862-260-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000589) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2017-09-14 |