| NPI | 1457686560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA RUBACK Billing Manager 732-251-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 355100304500) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2011-09-02 |