Organization Name: | AFFINITY COUNSELING GROUP LLC |
NPI Number: | 1134204431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA MARIE DRESSNER (CO-DIRECTOR) |
Mailing Address: | 688 Nassau St North Brunswick |
State: | NJ US |
Postal Code: | 089022900 |
Phone Number: | 7322493737 |
Fax Number: | 7322493322 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC04630100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |