| NPI | 1174281026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY R. FEDERICI Co Owner 609-420-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-01-05 |