| NPI | 1821392580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA NMN RAWDON Clinical Social Worker 251-626-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1105C) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |