| NPI | 1740984970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI LAJOIE ANDERSON Licensed Clinical Social Worker 704-516-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-04-07 |