| NPI | 1255141784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CARL WILSON Owner 609-470-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |