| NPI | 1710471875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRADLEY FECHTER Clinical Neuropsychologist 908-418-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 35S100594200) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |