| NPI | 1326172479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN SOLLITTO Director 732-780-0347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100163500) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |