| NPI | 1538735634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA RHEA RONDEL ASENCIO Licensed Clinical Social Worker 704-672-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |