| NPI | 1114352689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA PORTNOY Psychotherapist 609-240-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05378800) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |