| NPI | 1902396104 |
|---|---|
| Other Name | TRAUMA-INFORMED PSYCHOTHERAPY, LLC |
| Former Legal Business Name | TRAUMA-INFORMED PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM RICHARDSON Owner 201-377-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05682000) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-06-16 |