| NPI | 1508521675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RYAN CEO 609-361-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |