| NPI | 1467949735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ANDERSON Managing Member 908-902-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00592700) |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2021-12-31 |