| NPI | 1386433647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN KOPYAR Counselor 973-224-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-03 |
| Last Update Date | 2025-05-05 |