| NPI | 1285080671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH SPEARS TALLEY Owner 980-428-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008773) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-12-23 |