| NPI | 1447592209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANNE VINSON Clinical Psychologist 336-972-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: NC 1596) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-05-29 |