| NPI | 1629492459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MENDEZ C.E.O 732-474-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05631900) |
| Additional Taxonomies | 251S00000X (Licence: NJ 44SC05631900) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2016-02-03 |