| NPI | 1962901116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE SOSELY Ar Manager 862-260-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 20000641) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |