| NPI | 1942324579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA S KHAWAJA President CEO 973-799-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: NJ 022340) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-04-21 |