| NPI | 1629261094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HYRA MATTHIEU Owner/Licensed Clinical Social Work 919-961-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c003741) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |