| NPI | 1073058921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WEAVER Chief Executive Officer 908-415-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9939) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |