| NPI | 1174235972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI WEISS Owner 732-519-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2024-06-10 |