| NPI | 1275816258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE MILLER BOMBARDIER Owner/Clinician 704-932-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C001378) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |