| NPI | 1689023236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH PETTIT DAWSON Owner 984-377-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005837) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-06-05 |