| NPI | 1124337530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICHOLL Psychologist 856-625-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NJ 780227) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2010-10-03 |