| NPI | 1427466838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE M TYSON Owner 973-738-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05337100) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |