| NPI | 1205331865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ATHANASATOS Licensed Clinical Social Worker 201-669-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05335900) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |