| NPI | 1346675378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DYKSTRA-POWERS Director 201-703-4371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00273700) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |