NPI | 1164473195 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW BARRY GOFF CEO/Licensed Psychologist 336-299-9945 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3000) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2020-08-22 |