| NPI | 1710728381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEUNG TSANG CEO 732-705-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP2701X Psychologist Group Psychotherapy | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 167G00000X Licensed Psychiatric Technician | |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| 2084F0202X Psychiatry & Neurology Forensic Psychiatry | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology | |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |