| NPI | 1780723213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH G LIVANT Sole Proprietor Of LLC 973-971-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00014000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00009800) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00009800) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-07-07 |