| 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 | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 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 |