NPI | 1962847475 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DAVID GAVORNIK Director Of Development 908-619-0346 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2013-05-10 |
Last Update Date | 2013-05-10 |