| NPI | 1467295295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HARRIS Licensed Mental Health Counselor 732-978-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |