| NPI | 1740480748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH TUTTEROW President 336-274-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003425) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |