| NPI | 1053687830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE HANCOCK Owner/Provider 336-554-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003650) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |