| Organization Name: | COUNSELING CENTER FOR TRAUMA AND GRIEF A NJ NONPROFIT CORPORATION |
| NPI Number: | 1043451594 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET A BLONG (DIRECTOR OF CLIENT SERVICES) |
| Mailing Address: | 212 W Route 38 Suite 200 Moorestown |
| State: | NJ US |
| Postal Code: | 080573238 |
| Phone Number: | 8568341181 |
| Fax Number: | 8568341183 |
| NPI Enumeration Date: | 03/12/2009 |
| NPI Last Update Date: | 02/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC00031900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |