| NPI | 1639634470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY PITTER Clinical/Managing Director 201-241-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-06-14 |