| NPI | 1215348362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LASZLO Admin 732-794-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05165200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00153800) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00063900) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00203400) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |