| NPI | 1295909679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OVERLAND Director 973-226-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ s103685) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |