| NPI | 1114496916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R WEBERMAN Psychologist 201-341-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |