| NPI | 1215070693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID FOLLANSBEE President 732-494-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |