| NPI | 1598004319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI A PETRACCO Owner And Operator 973-722-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9771) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2014-12-24 |