| NPI | 1104390020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETERSON PIERRE-PAUL Clinical Director/CEO 973-789-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |