| NPI | 1508343518 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NATASHA DOMINIQUE CARTER Licensed Clinical Social Worker 704-369-4860 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080636) | 
| Enumeration Date | 2018-07-23 | 
| Last Update Date | 2018-07-23 |