| NPI | 1053853440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S KRENCICKI Partner/ Provider 609-865-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00283600) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00324600) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |