| NPI | 1568066041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE PIERRE Psychotherapist 908-313-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |