| NPI | 1972860633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVA L WHITE Executive Director 973-517-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05454500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37CA00095399) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-09-06 |