| NPI | 1205818424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A. PENDERGAST Managing Member 704-829-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003156) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |