| NPI | 1194379255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA SHAKIR ABDUS-SALAAM CEO 862-217-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2019-07-27 |