| NPI | 1962913657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C RIVERA Owner 973-307-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05624400) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-20 |