| NPI | 1609121268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIANN HAYTAS Owner 732-684-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05220200) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2013-06-18 |