| NPI | 1164097051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELGICA VICTORIA CEDENO Controller 609-951-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-06-02 |