| NPI | 1932337151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WON Owner 908-412-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NJ00130300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05410100) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-12-28 |