| NPI | 1518463819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA DE SA Licensed Clinical Social Worker 908-899-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05689300) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |