| NPI | 1174861314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA W STINE Owner/Sole Proprietor 704-254-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C004271) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-03-01 |