| NPI | 1003331497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TREMBLAY PETTEE Member And Organizer 336-280-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010897) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |