| Organization Name: | SHORE THERAPY |
| NPI Number: | 1134309149 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER KUZMINSKI (OFFICE MANAGER) |
| Mailing Address: | 310 Chris Gaupp Dr Ste 105 Galloway |
| State: | NJ US |
| Postal Code: | 082054461 |
| Phone Number: | 6096524040 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2007 |
| NPI Last Update Date: | 11/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 25MA04236100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |