| NPI | 1891241667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY A SHORES Licensed Clinical Social Worker 908-202-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05609600) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |