| NPI | 1518367549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MCMILLEN Licensed Clinical Social Worker 732-754-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05390600) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2024-10-18 |