| NPI | 1760861868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ELLEN MARTIN Owner 732-565-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00261300) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |