| NPI | 1134450174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ELLEN GALLIMORE Therapist 252-378-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002860) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-03-04 |