| NPI | 1740654417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY STEPHAN CORSON Owner/ Clinician 973-750-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37pc00511900) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |