| NPI | 1093186363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHERINE CRISP Member 919-807-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009302) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-11-17 |