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 |