| NPI | 1417081951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL MUSETTO Secretary Treasurer 856-428-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00102900) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |