| NPI | 1376093880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY INGRAM CEO/Executive Director 908-422-5340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05532900) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |