| NPI | 1962100776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DEVECKA Director Of Operations 732-679-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |