| NPI | 1063847945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE BOOTH Licensed Clinical Social Worker 973-476-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00853200) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |