| NPI | 1730548223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS W. BRANCH Clinical Psychologist 551-587-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 4046) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |