| NPI | 1720188014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND D MOSBY President CEO 856-857-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ SI03313) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NJ SI03313) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-07-14 |