| NPI | 1336468958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MONTERO Manager 973-341-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00359500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: NY 004120-1) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |