| NPI | 1205269206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE LILLIAN BAYER Sole Practitioner 336-443-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C00761) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |