| NPI | 1114370657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERY E FRADKOV President 201-497-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05391100) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-09-19 |