| NPI | 1790275154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE NISSEN SHAPPELL Owner 201-362-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05412500) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |