| NPI | 1164883476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLA ADELAKUN Officer 732-207-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |