| NPI | 1699832733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA IVETTE HERNANDEZ Owner 908-851-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SCO5157900) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |