| NPI | 1417170853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA TOBIN Owner 201-527-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04716600) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |