| NPI | 1659791440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KNOWELE ELDER Co Owner 609-517-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC 0000534) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE CD 0000020) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |