| NPI | 1407412448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE JOHANNA MONTES VERGARA Co Owner 908-543-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-01-10 |