| NPI | 1588944979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSAN JAN Administartor 201-833-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05276600) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00351700) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |