| NPI | 1144282419 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DIANE MULDOON President 704-544-0123  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002114)  | 
| Enumeration Date | 2006-04-03 | 
| Last Update Date | 2020-08-22 |