| 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 |