| NPI | 1316679962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CARL QUINONES Owner 732-713-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |