| NPI | 1811938210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROTELLA Clinical Social Worker 919-542-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC COO3955) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |