| NPI | 1124124151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOHNSON KEITH Manager/Partner 919-922-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002693) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-01-16 |