NPI | 1003330846 |
---|---|
Entity Type | Organization |
Authorized Contact | TEMITOPE SHAKIRAT COATES Executive Director/Administrator 973-878-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 37LC00242600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05667800) |
Enumeration Date | 2017-08-02 |
Last Update Date | 2019-07-21 |