| NPI | 1609383348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN P LEIT Owner 201-207-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05140900) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |