| NPI | 1780929901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNE CONNOLLY Sole Member 973-714-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05479900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00184700) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |