| NPI | 1780887117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN WEG Director 732-390-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 2720) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |