| NPI | 1285830232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B. ALLEN Director 609-219-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NJ 35SI00323000) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NJ 35SI00323000) |
| 104100000X Social Worker (Licence: NJ 44SL00211900) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |