| NPI | 1003707456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL L GRAHAM Owner 201-241-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-20 |