| NPI | 1821323270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WIZMAN Administrator 910-791-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C00534) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |