| NPI | 1558842120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE J MCNAMEE Administrator 201-953-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000087) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |