| NPI | 1730682675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR S LONG CEO 908-447-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 2174) |
| 101YM0800X Counselor, Mental Health (Licence: NC C001640) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 2436) | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2019-06-28 |