| NPI | 1700042074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MATTHEW CALLAN Director 732-735-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4191) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 4521) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |