| NPI | 1598250300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FOODMAN Owner 704-418-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c010390) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2021-09-13 |