| NPI | 1518422559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN WALSH Licensed Clinical Social Worker 609-703-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |