| NPI | 1265885644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH KOLODNY-KRAFT Executive Director 862-485-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |