| NPI | 1801119896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY GLICK-NOVACK Clinician/Counselor 201-690-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00056100) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC0430110) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |