| NPI | 1346778933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARYEH PETGORSKY Operations Manager 732-272-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |