| NPI | 1710417340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CONNELL Incorporator 973-567-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00589400) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-04-21 |