| NPI | 1497594311 |
|---|---|
| Former Legal Business Name | SRL MULBERRY MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNON LYNCH Clinical Social Worker 908-256-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-31 |