| NPI | 1508205626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA DANIELS Clinical Social Worker 252-532-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007821) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |