| NPI | 1174857544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HAROLD SEGLIN President/Licensed Psychologist 973-325-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 2138) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NJ 2138) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |