| NPI | 1972210144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE LERVA MOISE Owner/Therapist 973-664-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |