| NPI | 1447943311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONIE TAYLOR-DIXON Lcsw 252-208-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2025-02-22 |