| NPI | 1417014390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN PLAHOVINSAK President Corporation 732-240-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 2796) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00321800) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-03-06 |