| NPI | 1730945924 |
|---|---|
| Doing Business As | SOC |
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL LAKESHA SIMMONS Owner 252-349-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-11-05 |