| NPI | 1083326094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEJHAS VYASS Manager 732-993-4599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |