| NPI | 1669973111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAGUARINA CEO 856-230-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc0051340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37pc0051340) |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37pc0051340) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |