| NPI | 1649964453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE COUSINS Co Owner 908-892-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |