| NPI | 1831606862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BELLAMY Principal 201-543-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: NJ 44SC05424200) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2020-01-10 |