| NPI | 1831635192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANGELONE Clinical Director 856-340-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00503000) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |