| NPI | 1316446305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUES TIMOTHY JOHNSON Owner 919-559-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 10306) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |