| NPI | 1144391269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARLOS Executive Director 201-837-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00024900) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2015-09-28 |