| NPI | 1235621145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FRANK POLITO Director 862-781-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05236700) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |