| NPI | 1174050256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA RISTESKA Owner/Lead Clinician 908-674-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05645300) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-25 |