| NPI | 1942561956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS KOPIT Sole Proprietor 973-868-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04548100) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2016-08-26 |