| NPI | 1871939991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL MARTINEZ Manager 973-866-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05502600) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |