| NPI | 1194067959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI SAMAAN Manager 646-464-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 25MB07627000) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-22 |