| NPI | 1689369563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUBA RASID Office Manager 201-815-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2024-02-20 |