| NPI | 1316587470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LACHANCE-POIRRIER Clinical Director 908-797-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |