| NPI | 1194160507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE TORTORELLO-GILLIGAN Owner 732-609-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05364900) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-10-09 |