| NPI | 1194831222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MITCHELL ROBINSON Owner President 907-258-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AK 153) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY92) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-08-05 |