| NPI | 1114298668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COBB Owner/Operator 336-337-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007332) |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2013-01-30 |