| NPI | 1851397947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NAVARRO Acct Billing Clerk 201-837-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251V00000X Voluntary or Charitable | |
| 251V00000X Voluntary or Charitable | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2022-09-26 |