| NPI | 1265514848 |
|---|---|
| Doing Business As | INTERCHANGE |
| Entity Type | Organization |
| Authorized Contact | KEITH J. ALEXANDER Director 609-586-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 2952) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100326600) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC601700) | |
| 103TH0004X Psychologist, Health (Licence: NJ 35SI00324900) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00157200) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-10-04 |