| NPI | 1134488836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN DATTADA Owner 732-485-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007061) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |