| NPI | 1104221019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINA TAURO Clinician 973-960-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8811) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-06-29 |