| NPI | 1861177859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE A MONTEZ Owner 201-993-7807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-07-31 |