| NPI | 1982092839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACEANN TOZZI Billing Manager 570-460-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ 1918037) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 1918037) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 1918037) | |
| 101YP2500X Counselor, Professional (Licence: NJ 1918037) | |
| 103T00000X Psychologist (Licence: NJ 1918037) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 1918037) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 1918037) | |
| 103TC1900X Psychologist, Counseling (Licence: NJ 1918037) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 1918037) | |
| 103TF0000X Psychologist, Family (Licence: NJ 1918037) | |
| 104100000X Social Worker (Licence: NJ 1918037) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 1918037) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2017-10-18 |