| NPI | 1245652882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE THOMAS Owner 917-868-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05425200) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2018-10-12 |