| NPI | 1124174586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W. LUDLOW Licensed Clinical Social Worker 732-780-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00036300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01455700) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |