NPI | 1649796327 |
---|---|
Entity Type | Organization |
Authorized Contact | KESHAWN ADELL MCCLEOD Owner/Therapist 252-325-5189 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005958) |
Enumeration Date | 2017-08-15 |
Last Update Date | 2017-08-15 |