| NPI | 1578752770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TREVOUR SHEPARD CEO 910-938-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC Pending) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |