| NPI | 1407078876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI KELLER RODRICK Owner 732-223-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05179700) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |