| NPI | 1194970103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON GATLING COO 973-673-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01484200) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2021-09-28 |