| NPI | 1780123315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HANSEN Owner 908-370-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05671800) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |