| NPI | 1215242540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M SHERRY Director 201-669-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 4344) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |