| NPI | 1366278087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA CAREY Office Manager 973-251-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |