| NPI | 1861881302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA FDYFIL Therapist 973-563-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05596900) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |