| NPI | 1699121731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE LYNN NUSS Manager 201-310-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12168) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2016-05-08 |