| NPI | 1174946057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NOLAN Counselor 732-497-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00488300) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |