| NPI | 1114446739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SWIFT Owner 646-600-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00349700) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |