| NPI | 1720383607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L SHELOR - FLORES Owner / Provider 336-545-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000288) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |