| NPI | 1134543341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH DAVIS Licensed Clinical Social Worker 919-395-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 142672) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |