| NPI | 1043243173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILAYANNUR RAO Director 609-689-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 25MA07328200) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |