| NPI | 1447638754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B MORIN Sole Member 910-398-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009123) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |