| NPI | 1447667134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAT SAMID Officer 917-207-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05453000) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |