| NPI | 1831850056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LARRY THOMPSON Founder 732-389-0697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |