| NPI | 1003103300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GONZALEZ Owner 908-203-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05302800) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2012-02-17 |