| NPI | 1295132090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DANIEL FEASEL Owner 828-303-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005637) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |