| NPI | 1508307208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID JENKINS Principle 973-204-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04971700) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |