| NPI | 1821346313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE W STREET Licensed Clinical Social Worker 910-233-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007674) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-07-13 |