| NPI | 1588172498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE SIWIEC Owner 732-451-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2024-04-23 |