| NPI | 1417526773 |
|---|---|
| Other Name | ITG |
| Entity Type | Organization |
| Authorized Contact | SHMUEL SICKER Owner 732-523-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |