| NPI | 1023138740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L DRAKE Executive Director 336-760-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 6006689) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-05-17 |