| NPI | 1144605338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M. KRUG Licensed Clinical Social Worker 732-894-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00574900) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |