| NPI | 1003277252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN ROBERT JONES License Clinical Social Worker 919-356-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C009812) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |