| NPI | 1366934374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY NICHOLS Business Director 732-246-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05260700) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |