| NPI | 1316247570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN DEVIZIO Lmft 732-785-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NJ FI 001466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ SC 08766) |
| 1041C0700X Social Worker, Clinical (Licence: NJ SC 45388) | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |