| NPI | 1336838853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINA RUIZ President 973-405-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |