| NPI | 1902405483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN ARCHIBALD Owner 732-977-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-11-03 |