| NPI | 1326186149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE MARIE TREMBLAY Mental Health Practitioner 973-993-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NJ 2005) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00064800) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |