| NPI | 1417303975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LOCKROW RUSSELL Owner 919-589-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008758) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-04-01 |