| NPI | 1245685080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MANCUSO Owner/Social Worker 732-832-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05550000) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2019-11-28 |