| NPI | 1366995060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE CALABRESE Counselor 732-966-9602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00509000) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00302000) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00156000) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00182500) | |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00376100) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-29 |