| NPI | 1083154504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RACHEL WOLF Clinical Social Worker 908-370-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00871100) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |