| NPI | 1730406372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MICKOLAJCZYK Owner 201-300-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00575100) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |