| NPI | 1124727466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHELLE WHITE CORLEY Owner/Primary Therapist 201-677-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-04-20 |