| NPI | 1871531798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA D. MAC ISAAC Managing Member 201-444-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05172200) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |