| NPI | 1265687800 |
|---|---|
| Other Name | ICCPC |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA K RAO Director 973-794-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 164W00000X Licensed Practical Nurse | |
| 251S00000X | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |