| NPI | 1861876914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY ANN DEMOOY Owner 252-305-9405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005446) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-08-04 |