| NPI | 1619752201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R LAVELLA Founder Director 732-407-2653 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |