| NPI | 1700954773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE M. FORRIS Owner 336-765-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000599) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |