| NPI | 1174013262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN PERERA Member 973-337-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05720200) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-03-29 |