| NPI | 1376605931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE J. PODSKOC Member 732-356-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44sc00445300) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |