| NPI | 1821245739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L BURGESS Owner 732-539-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 35S100440800) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2020-03-05 |