| NPI | 1154628659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MCNIEL Executive Director 704-641-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c005084) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |