| NPI | 1114240967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MONTERO Director 973-341-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05307400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00360100) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37PC00359500) | |
| 101YM0800X Counselor Mental Health (Licence: NY 004120) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |