| NPI | 1043741606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWANZETTA JOHNSON STEVENSON Licensed Clinical Social Worker 252-548-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC C008540) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |