| NPI | 1629519087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYN C STETTLER Chief Executive Officer 336-575-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017317) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |