| NPI | 1932856911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MECHELLE COPELAND Owner 201-431-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-06-24 |