| NPI | 1003642034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERELL BENDERS Counselor 973-819-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |