| NPI | 1821516170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY MICHELE THOMPSON Lcsw 201-370-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05518100) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |