| NPI | 1255841631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI M MANZIONE Lcsw 973-464-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05380100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00157000) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |