NPI | 1154475572 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWNTAL ISAIAH Clinical Director 704-506-6204 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005180) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |