| NPI | 1154789303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI S PETRY Owner 973-963-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00031600) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |