| NPI | 1255850665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DAVID FOX Owner 732-662-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05736200) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-06-08 |