| NPI | 1548584261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE ROSE HEATON-COLELLA Member 609-457-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04635000) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2013-07-31 |