| NPI | 1619486404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FLESCHER CEO 732-766-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00382200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00268300) |
| 251S00000X | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |