| NPI | 1538997291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL C WILSON Executive Director 609-470-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |