NPI | 1255799003 |
---|---|
Other Name | WGCN |
Entity Type | Organization |
Authorized Contact | STEPHANIE ERIN WILSON GONZALEZ Neurodevelopmental Systems Director 910-987-0203 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2016-02-08 |
Last Update Date | 2016-02-08 |