| NPI | 1326894890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON KNOWLES Licensed Counselor 732-606-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 102L00000X Psychoanalyst | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |