| NPI | 1124523386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MCDANIEL Business Operations Manager 910-491-9848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-06-23 |