| NPI | 1083223218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN S. LEE Owner 732-586-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |