| NPI | 1306126792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSAN JAN Administrtor 201-833-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 25MA06506500) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |