| NPI | 1245375492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLAY Executive Director 856-751-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100298900) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-01-26 |