Organization
CTW & ASSOCIATES
Active
Other names
The Koi Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY T WILSON (FOUNDER/CHIEF EXECUTIVE OFFICER)
(973) 704-1200
Entity
Organization
Contact information
Practice address
151 S DURAND PL, IRVINGTON, NJ 07111-1807
(973) 704-1200
Mailing address
151 S DURAND PL, IRVINGTON, NJ 07111-1807
(973) 704-1200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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