| NPI | 1508197229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARGARET CASTELLANOS Psychotherapist 919-360-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005374) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |