| NPI | 1497599526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOTISHA L. PHELPS CEO 973-805-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171400000X |
| 174400000X Specialist | |
| 175T00000X Peer Specialist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |