NPI | 1609321256 |
---|---|
Entity Type | Organization |
Authorized Contact | TONI PERGOLIN President / CEO 856-348-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NJ PRF101) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2023-11-08 |