| NPI | 1659732592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SELLERS-HARTY Owner 336-686-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006273) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |