| NPI | 1407448491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MEGHAN BENNETT Licensed Clinical Social Worker 732-877-5598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-16 |