| NPI | 1639236516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LARRY THOMPSON Owner 732-389-0697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-04-30 |