| NPI | 1396036042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BERMAN Assoc Director 973-682-8733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 2000195-07) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC0822) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |