| NPI | 1154443588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLYNN R. WISEMAN President 201-445-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04507100) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2012-07-16 |