| NPI | 1992152029 |
|---|---|
| Other Name | MRS. WILSON'S |
| Entity Type | Organization |
| Authorized Contact | MICHELLE REYES Executive Director 973-540-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NJ 1000019) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 2000074) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |