| NPI | 1396195533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA P BRUE Owner 646-643-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05515700) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |