| NPI | 1194205187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIOLA T PAUL Owner 732-810-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05704400) |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |