| NPI | 1104583442 |
|---|---|
| Doing Business As | REWIRED PATH |
| Entity Type | Organization |
| Authorized Contact | LISA CORDASCO General Partner 732-778-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-23 |