| NPI | 1003315433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SILLETTI Managing Member 908-400-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37LC00060400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00060400) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |