| NPI | 1215764675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAAKOV SZANZER Member 732-705-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |