| NPI | 1003447509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DEPKO Licensed Clinical Social Worker 732-977-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |