| NPI | 1104488345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN V WATERS Licensed Clinical Social Worker 732-533-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |