| NPI | 1447073291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHARKA SANKARA Managing Member 732-337-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |