| NPI | 1790370484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN REYHAN Executive Director 908-528-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-12-17 |