| NPI | 1508357872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIA MAYER Owner 732-419-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: NJ 37PC00611300) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-01-06 |