| NPI | 1154647865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN LATTIMORE Owner 704-297-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C001397) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |