| NPI | 1013149020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN VACCARO ROSS Sole Owner 732-784-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00234100) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00059700) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2014-05-12 |