| NPI | 1184236002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN BONNER CEO 908-229-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2025-09-25 |