| NPI | 1609943711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BALCH Clinician 201-395-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00341100) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |