| NPI | 1457793523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN SIEGEL Licensed Professional Professional 973-707-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00365900) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |