Organization
INSTITUTE FOR PEACE AND TRANSFORMATIVE HEALING A NJ NONPROFIT CORPORAT
Active
Other names
IPATH
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA CARMONA (CHIEF EXECUTIVE OFFICER)
(201) 893-6397
Entity
Organization
Contact information
Practice address
638 NEWARK AVE, JERSEY CITY, NJ 07306-2306
(201) 893-6397
Mailing address
638 NEWARK AVE, JERSEY CITY, NJ 07306-2306
(201) 893-6397
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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