| NPI | 1417444076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MARK ROSENBERG Owner/Executive Director 732-458-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 172V00000X Community Health Worker | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |