| NPI | 1548717143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA IVEY PRUSIOWSKI Director 201-207-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05548300) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |