| NPI | 1548634314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LANE TERZIS Counselor 973-714-9484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00235500) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |