| NPI | 1750598496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WALLACE PLANTIKOW President 973-376-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: 392) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00038300) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |