| NPI | 1962989442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RIZZO KOURGELIS Owner 201-694-1648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05300400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00165200) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-06-20 |