| NPI | 1144695701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA E SMITH CEO/Founder 862-930-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05478100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00124200) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-29 |