| NPI | 1740812106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHARA AMOYELLE Member 732-470-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |