| NPI | 1457780272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ELLIOTT Psychotherapist 848-702-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC054993300) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |