| NPI | 1346561099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BLACKARD COOK Co Owner 919-272-6854 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004059) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |