| NPI | 1629445861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HANCOCK MCNEILL Clinical Social Worker 704-517-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |