| NPI | 1639664329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A MAGNOTTA Owner 732-895-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05749000) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-11-15 |