| NPI | 1558025791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE HARTZEL Administrator 201-787-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |