| NPI | 1750413217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. SOFAIR-FISCH Psychologist 973-669-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100432500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC000043500) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2009-05-13 |