| NPI | 1497989156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED MICHAEL GROSS President 856-222-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00302000) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |