| NPI | 1992092910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY MINSON Partner 908-349-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04320800) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00154800) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2013-11-21 |