| NPI | 1427170703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BACHUS President 609-921-6899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00150100) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-08-02 |