| NPI | 1578927851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE JOHNSON Administrator 201-289-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 133V00000X Dietitian, Registered | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174400000X Specialist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |