| NPI | 1043660699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LONG Managing Member 201-286-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083911) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-01-13 |