| NPI | 1184283921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY VEGA Psychotherapist 732-600-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |