| NPI | 1346276565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD JORDAN Clinic Administrator 919-872-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000909) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |