| NPI | 1780975458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO PUERTAS Director 201-674-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05357500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 44SL05578500) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04535900) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |