| NPI | 1942604202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY A. BENNETT President 732-226-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |