| NPI | 1790168359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISE VELEZ Psychotherapist/Owner 201-208-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05537500) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |