| NPI | 1508353137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL GOLDBERG President 732-576-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00345400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05240800) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |