| NPI | 1134638828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BRENNAN Director 908-705-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00579400) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-05-11 |