| NPI | 1982327300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN GEARTY Health Policy Analyst 908-907-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-12-01 |