| NPI | 1851141212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ELIZABETH CLEMENT BOWLES Psychotherapist 732-600-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |