| NPI | 1386212157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SUSSMAN COO 201-216-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-18 |