NPI | 1174507719 |
---|---|
Doing Business As | BUNKER HILL CONSULTATION CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT JOEL ROSENBAUM Director 908-874-5115 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist (Licence: NJ SI0002181) | |
103T00000X Psychologist (Licence: HI 868) | |
103TF0200X Psychologist, Forensic | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2020-08-22 |