| NPI | 1003069329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MEDINA Finance Coordinator 908-604-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2025-09-09 |