NPI | 1891230470 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MARIE RULE SUAREZ Clinical Director 201-564-7331 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 1083950471) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 1821413626) |
Enumeration Date | 2017-01-05 |
Last Update Date | 2017-07-11 |