| NPI | 1124329271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TONKINS MARSHALL Psychologist/Owner 704-763-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1663) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |