| NPI | 1972855575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD P COX Executive Director 201-860-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NJ 10CC00058200) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |