| NPI | 1194941187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS REDDICK Pastor Owner 973-481-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ PC003003) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |