| NPI | 1477090769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE DOUGLAS Agency Principal 908-312-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 44SC00292700) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NJ 44SC00292700) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2024-01-11 |