NPI | 1184087256 |
---|---|
Entity Type | Organization |
Authorized Contact | LOREN S JOHNSON-ROSA Owner 609-558-1591 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05277700) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |