| NPI | 1043788300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE JOHNSON Director 201-289-4460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC1900X Psychologist, Counseling | |
| 106E00000X Assistant Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 174H00000X Health Educator | |
| 363L00000X Nurse Practitioner | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |