| NPI | 1972013837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETAN POMERANTZ COO 201-334-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 2847520696501) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-02-08 |