| NPI | 1578945291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GIAMBRA Therapist 201-491-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW130638) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |