| NPI | 1154247666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES HANSON Co Owner 973-274-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-06-29 |