| NPI | 1962257618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE VITO Licensed Mental Health Counselor 609-521-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |