| NPI | 1215672910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L. DILLON Licensed Clinical Social Worker 910-372-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |