NPI | 1912316639 |
---|---|
Former Legal Business Name | GENUINE ME LLC |
Entity Type | Organization |
Authorized Contact | JOANNE R FADOOL President 609-828-0097 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05576600) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2016-08-16 |