| NPI | 1912699075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HACKETT Owner 201-497-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-02-18 |