| NPI | 1952570558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAC S GELLEY Owner 732-901-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-06-04 |