| NPI | 1750893954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHANNA D MAJETTE Owner 856-522-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00581600) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2020-10-13 |