| NPI | 1710337225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CONCEPCION Lcsw 908-546-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05681200) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |