| NPI | 1225365372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN O PETERSON Licensed Clinical Social Worker 201-566-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04898500) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |