| NPI | 1235365172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOUIS ROBERTS President/Clinical Psychologist 251-457-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL AL1353) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |