| NPI | 1437644184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA DURYEA Director 973-519-1647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04409500) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |