| NPI | 1598074841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE HOLBROOK GREEN Clinician 704-842-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P004885) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2011-04-28 |