| NPI | 1467736728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAY STACKHOUSE President 973-886-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc00844700) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-17 |