| NPI | 1013419704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN HOM Clinical Social Worker 201-525-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |