| NPI | 1083953574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAUNJENETTE ANTREASE POOLE CEO/Owner 856-318-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05533700) |
| Additional Taxonomies | 251S00000X (Licence: NJ 44SC05533700) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |