| NPI | 1306112073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A HAVERSON Owner 973-476-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05474700) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-06-18 |