Organization
490 COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNA CALLEO (CEO)
(973) 862-3111
Entity
Organization
Contact information
Practice address
48B SOUTHBROOK DR, EATONTOWN, NJ 07724-1829
(973) 862-3111
Mailing address
48B SOUTHBROOK DR, EATONTOWN, NJ 07724-1829
(973) 862-3111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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