| NPI | 1447127006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIANA ALFORJA Credentialing Specialist 908-270-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2026-07-14 |