NPI | 1154637585 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRELL THOMAS GARNER President/Provider 336-786-7199 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C001190) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2010-08-23 |