| NPI | 1942698725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI PALACE Owner 973-558-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |