| Organization Name: | PRINCETON GROUP SUPPORT CENTER LLC |
| NPI Number: | 1588092241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES LEIGHTON (OWNER/DIRECTOR) |
| Mailing Address: | 88 Orchard Rd Suite 5 Skillman |
| State: | NJ US |
| Postal Code: | 085582642 |
| Phone Number: | 9738515095 |
| Fax Number: | 7329400763 |
| NPI Enumeration Date: | 10/16/2013 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC04672200 |
| 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 |