| NPI | 1255467015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TYLER WHITE CFO 973-674-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 0025364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 0025364) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |