| NPI | 1649639394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALA DEVI DEODHARI Clinical Director 732-991-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05563800) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |