NPI | 1952171134 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN M DISIMONE Operations Director 973-277-5359 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-01-08 |