| NPI | 1386290278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DENISE CLAYTON Licensed Clinical Social Worker 732-575-7341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |