| NPI | 1942708102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMEN EISSA Practice Manager 201-424-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC054551000) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |