| NPI | 1598134868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN M. BLOOM-RAU Therapist 908-239-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05647000) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2017-02-07 |