| NPI | 1154146207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIONNA BRICE Licensed Clinical Social Worker 336-517-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |