| NPI | 1225446859 |
|---|---|
| Other Name | TMSBCBSNC |
| Entity Type | Organization |
| Authorized Contact | FATIMA JORDAN Managing Member 336-907-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1538) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2015-04-15 |