| NPI | 1932922689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M BRACAMONTE CEO 862-926-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2025-02-07 |