| NPI | 1972969483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. BRYAN SMITH Member 732-533-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05619200) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |