| NPI | 1659575892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D RADSON Psychologist 252-446-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1074) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-11-29 |