| NPI | 1497199863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEKATERINA CHIZHOVA Lcsw 201-638-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05236100) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |