| NPI | 1104166289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ISOBEL LUCZAK Managing Director 866-784-1276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NJ 37PC00353500) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2014-07-13 |