| NPI | 1316458698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN KORAB-REYNOLDS Lcsw 201-591-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SCO5302900) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-03-03 |