| NPI | 1538825948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN M COOK Licensed Clinical Social Worker 919-723-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |