| NPI | 1790926939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LISK Counselor: Addiction 201-866-9320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00064000) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |