| NPI | 1912763731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ETUKE Director 732-696-8162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |