| NPI | 1790029619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA GEIB Executive Director 732-223-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00443500) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00068100) |
| 101Y00000X Counselor (Licence: NJ 37AC00120300) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00103300) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |