| NPI | 1417036682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST RUSHING Consultant 704-861-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003757) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-09-05 |