| NPI | 1568995215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA A GUIDO Therapist 732-637-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05429600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00180000) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2020-02-26 |