NPI | 1093510422 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH BAUER Owner 732-275-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2025-02-18 |
Last Update Date | 2025-02-18 |