| NPI | 1992187769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BERGSTOL Mental Health Counselor 201-661-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00262200) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-05-29 |