| NPI | 1417479056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE CHANTEL HOLLEY Executive Director 973-393-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05717900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00259900) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-08-21 |