| NPI | 1427508563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIANN TEIXEIRA Member 908-415-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05547800) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2022-08-03 |