| NPI | 1477698827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA BARRY SPEISER Social Worker 732-920-7933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC00663800) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |