| NPI | 1740568013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D. GOODRICH Owner 908-334-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05340000) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00144300) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |