| NPI | 1689801219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A. LEIDECKER Managing Member 973-568-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00020000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00057200) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |