| NPI | 1497050009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG BUCZEK Office Manager 973-835-6337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 1114-05-04) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |