| NPI | 1043786254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTORIYA FINE CEO 973-773-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-12-24 |