| NPI | 1255464764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTIN MOUHTIS Clinical Director 973-473-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ SIO3346) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |