| NPI | 1740681535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D ELLIOTT Licensed Clinical Social Worker 201-446-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05186600) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-17 |