| NPI | 1972996387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ETUKE License Professional Counselor 732-696-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00483400) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-09-11 |