Whalio Doctors

NPI 1588175822

Autonome Counseling Center, LLC

Organisation In Home Supportive Care Agency Brick, NJ

Practice location

Address
60 Lenape Trl, Brick, NJ 08724-4453
Phone
(201) 743-8052
Fax
(732) 612-1273

Authorised official

Name
Adam Wesley Thomas
Title
Owner/Supervisor
Phone
(201) 743-8052

Registered specialties

In Home Supportive Care Agency Primary
Agencies Taxonomy 253Z00000X Licence 37PC00502900 (NJ)

Registry record

NPI
1588175822
Entity type
Organization
NPI issued
13 Oct 2017
Record last updated
16 Jun 2018

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.