| NPI | 1104064682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE GORDON Owner 201-873-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05206200) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2020-03-30 |