| NPI | 1619533916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRENA M DUSSARD Clinical Director 973-567-5941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |