| NPI | 1821586843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BAKEY Owner/Sole Member 856-854-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00457200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00182400) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-07-30 |