| NPI | 1962072959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE BUZNEY CEO 609-213-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-08-27 |