| NPI | 1366964199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL F FULFORD Clinical Psychologist 973-278-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00480900) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |