NPI | 1043304876 |
---|---|
Doing Business As | SHORE BEHAVIORAL SERVICES |
Entity Type | Organization |
Authorized Contact | THOMAS WALTER CHEMRIS President 732-938-3080 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 44SC05184500) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-07-29 |