| NPI | 1730596610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SPEARS MILLER Owner 919-210-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008601) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |