| NPI | 1629383120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M VACCARO Healthcare Provider 973-857-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05162000) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |