| NPI | 1659412211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS DICKINSON Partner 336-854-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 0825) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |