| NPI | 1417339417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOSE CARBAJAL Lcsw/Member And Organizer 704-968-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008315) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |