| NPI | 1336200971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL KOSCHIL Director 732-324-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05160200) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-07-19 |