| NPI | 1528427424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE TILL Proprietor 973-798-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05668600) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-04-13 |