| NPI | 1851106926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE JOSEPH-FORMAN Chief Program Officer 862-772-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TS0200X Psychologist, School | |
| 163WS0200X Registered Nurse, School | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |