| NPI | 1699282525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN L. KOCH Executive Director 609-709-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00513700) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00214900) |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2017-12-31 |