| NPI | 1336335728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE M MORTENSON Psychotherapist Licensed Clinical S 732-229-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00022000) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |