| NPI | 1538679956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH CARD Licensed Clinical Social Worker 848-223-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |