| NPI | 1093029563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ROCHELLE Executive Director 910-938-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006539) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C003846) |
| 208000000X Pediatrics (Licence: NC 24101) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |