NPI | 1093029563 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN ROCHELLE Chief Executive Director 910-938-7669 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C003846) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 24101) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2025-08-06 |