| NPI | 1871001057 |
|---|---|
| Doing Business As | MENDING WINGS TO SOAR |
| Entity Type | Organization |
| Authorized Contact | MOYA MATHISON Owner/Therapist 973-937-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 37PC00559100) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |