| NPI | 1912777855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERITTE LESLIE Owner 609-816-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2025-06-30 |