| NPI | 1972916120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA PETERSON DORSETT Owner 609-433-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05197000) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |