NPI | 1679089106 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY BRACAGLIA Owner 908-320-5320 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00267600) |
104100000X Social Worker (Licence: NJ 44SL06310800) | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00302100) | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2017-12-20 |
Last Update Date | 2023-02-28 |