| NPI | 1699201749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON SHORE CEO 732-996-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-09-28 |