| NPI | 1205324464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MASTERSON-KANE Lcsw/Member 201-612-6696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01300200) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |