| NPI | 1629286919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE M COOPER Office Manager 856-858-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc00077300) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-07-16 |