| NPI | 1164991170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRAH KRATZER Owner 732-637-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |