| NPI | 1750717005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELENA MOTTA Program Administrator 732-667-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00151500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00419100) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |