| NPI | 1568967255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY BROCK Owner, Member 704-560-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P008887) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |