| NPI | 1164196887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D. SOUTH Owner/ Clinical Supervisor 201-407-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-20 |