| NPI | 1124107545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN MELENDEZ President 732-409-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC000835400) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2020-08-22 |