NPI | 1851992929 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL LAVELLA Founder, Clinican 732-407-2653 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-11-05 |
Last Update Date | 2022-07-06 |