| NPI | 1023472628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ERICSON President 973-391-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05594700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05594700) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2016-04-09 |