| NPI | 1043898224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVID SUSSMAN Member 201-216-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |