| NPI | 1588051502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HEYMER Clinician 908-285-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00415700) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |