| NPI | 1154654259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN E DUNGA President/CEO 862-223-6324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05161500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc01301800) |
| 225C00000X Rehabilitation Counselor (Licence: NJ 37pc00373000) | |
| 225X00000X Occupational Therapist (Licence: NJ 46tr00426600) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |