| NPI | 1619374550 |
|---|---|
| Former Legal Business Name | CENTER FOR EFFECTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | HERBERT J TANNENBAUM Psychologist 201-488-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 1221) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |