| NPI | 1568636504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI ELLEN JEDDIS Psychotherapist 973-239-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC00172600) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |