| NPI | 1871097972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MCGEADY Registered Agent 609-651-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05752500) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-25 |