| NPI | 1487857710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN S. TASKA Director 732-548-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00371500) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00374900) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |