| NPI | 1396584074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CORCHADO School Social Worker 973-732-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |