| NPI | 1699349381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA QUEEN O'CONNOR Licensed Clinical Social Worker 908-797-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-05-17 |