| NPI | 1386152916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A MAZUR Owner 732-604-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05352000) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-04-10 |