| NPI | 1053566000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P. ANDRONICO Psychologist 732-564-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100065500) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ 35S100065500) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2014-02-26 |