| NPI | 1841670981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVITA CRUTCHER GREEN Owner 919-675-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |