| NPI | 1891981866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES CAMPBELL Partner 910-350-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 1680) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2012-01-25 |