NPI | 1144242157 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNIE L MCLEAN Owner 732-548-8232 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00033700) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 37PC00033700) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-09-24 |