| NPI | 1154832087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE HAAS Office Manager 908-352-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 100610104) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |