| NPI | 1992455695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA CARMONA Chief Executive Officer 201-893-6397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |