| NPI | 1407297534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MACDONALD Owner 732-477-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00376700) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2020-01-09 |