| NPI | 1235669540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY GLASHOW Owner 201-565-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05713100) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-01-28 |