| NPI | 1205226487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACEANN TALARICO Owner 908-600-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00353000) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |