| NPI | 1487948600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBER MORK Clinical Social Work 704-403-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004859) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |