| NPI | 1467526806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS D WALKER Clinical Director 704-862-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002758) |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |