| NPI | 1457635823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOLLAND ELLER Manger 919-741-8537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007038) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |