| NPI | 1669877981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TAYLOR Owner/Clinical Director 732-281-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05573900) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2020-06-17 |