| NPI | 1073887360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO MORILLO FALERO Clinical Director 857-334-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003521) |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2012-03-04 |