| NPI | 1962946178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD J. HERRERA Clinical Social Worker 609-980-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC00196400) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2023-08-22 |