| NPI | 1821438664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER HERZOG Clinical Director 973-513-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05425000) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |