| NPI | 1730381773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE CICCONE Director 973-744-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04532400) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |