| NPI | 1013468354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI GARDENSWARTZ Licensed Clinical Social Worker 973-473-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 083934) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |