| NPI | 1184976391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MONTERO CEO / General Manager 973-341-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 004120-1) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |