| NPI | 1588255277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2023-03-22 |