| 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 |