| NPI | 1548706385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MOHR Pres/Owner 848-391-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NJ 44SC04793500) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-03-17 |