BRENTON THOMAS PORTER

MONMOUTH JUNCTION, NJ
NPI1578848750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
-- BRENTON THOMAS PORTER
4326 US HIGHWAY 1
MONMOUTH JUNCTION, NJ 08852-1906
Phone number: 800-969-5300
Mailing Address
-- BRENTON THOMAS PORTER
671 HOES LN W
PISCATAWAY, NJ 08854-8021
Phone number: