| NPI | 1760813661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARKS YOUNG CFO 732-257-6662 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc04936900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00041500) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |