| NPI | 1649034273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN SIMPSON Owner 732-539-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |