| NPI | 1588162069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMOUR MADDUX Managing Director 212-810-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: NJ 35SI00482600) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |