| NPI | 1154994846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFID FADUL Owner 201-293-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2023-04-05 |