| NPI | 1447110929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PAGE Owner 732-523-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-07-24 |