| NPI | 1174629810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE REESE COVINGTON Owner 973-399-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ MA038265) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |