| NPI | 1235557539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LESHER Licensed Clinical Social Worker 862-686-3186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00163000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 44SC05505200) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |