| NPI | 1730671652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA S MEVORAH Owner 917-620-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05736600) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2020-01-10 |