Whalio Doctors

NPI 1053037879

Five Star Therapeutic Services LLC

Organisation Clinical Social Worker Tinton Falls, NJ

Practice location

Address
58 Diane Dr, Tinton Falls, NJ 07753-7953
Phone
(848) 231-8429
Mailing address
PO Box 495, Eatontown, NJ 07724-0495

Authorised official

Name
Marisol Samol
Title
Owner
Phone
(848) 231-8429

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Registry record

NPI
1053037879
Entity type
Organization
NPI issued
13 Oct 2022
Record last updated
13 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.