| NPI | 1548627300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DENNIS FISHER Professional Counselor 973-809-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 37PC00437900) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |