| NPI | 1780196170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHESYRE NOVOA Lead Clinician 973-348-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06197900) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2020-03-09 |