| NPI | 1285789909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS J BONNER Sole Member 856-896-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |