| NPI | 1548436819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M CHARUK Owner 609-586-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |