| NPI | 1245699305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA L SIMMONDS Licensed Clinical Therapist 908-219-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05595300) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |