| NPI | 1477563534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE C. KEANE Director 732-920-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4245) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-05-28 |