| NPI | 1265741904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONACA MAYE WILLIAMSON Director Of Operations 336-558-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 163W00000X Registered Nurse | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-12-16 |