| NPI | 1497402309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA SOTO Owner 973-459-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |