| NPI | 1609378629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ENRIQUE VIRELLA Clinical Therapist/Owner 609-346-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05660000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00241500) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-04-10 |