| NPI | 1871300749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENIFA ALLEN Licensed Social Worker & Counselor 862-774-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2024-12-14 |