| NPI | 1194864975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B KRUEGER Director 704-896-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c002362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC c004574) |
| 1041C0700X Social Worker, Clinical (Licence: NC c005510) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-06-23 |