| 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 |