| NPI | 1831107739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANY BETH COOPMANS VIZITHUM Lcsw 919-636-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004091) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |