| NPI | 1215603352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIYAHU MELEN CEO 732-301-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |