| NPI | 1407554827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIYESHA CAPRI SWAYNE Licensed Clinical Social Worker 919-593-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |