| NPI | 1033656285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA T FLOYD Manager 848-459-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05529000) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |