| NPI | 1114239134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTAL M ISAIAH Owner 704-965-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005180) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2022-08-06 |