| NPI | 1326472820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B BEARDSLEY Owner/Operator 908-264-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05510200) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |