| NPI | 1952975310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CIOFFI CEO 732-610-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-01-30 |