| NPI | 1801566252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITANIA GRANT Clinical Director 973-943-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-11-10 |