| NPI | 1326412008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ANN FERNANDEZ Partner 908-303-3850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00496100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00179200) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |