| NPI | 1699901819 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT ALAN WHEELER Owner 1252-299-2226  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004864)  | 
| Enumeration Date | 2009-06-02 | 
| Last Update Date | 2009-06-02 |