| NPI | 1376038224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ADAMS Owner 980-875-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C007087) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2019-04-19 |