| NPI | 1548626856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOSEPH President 856-797-0791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00307200) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |