| NPI | 1124146220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDYLEIGH K. BODICK Clinic Director 704-892-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003703) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |