| NPI | 1861904419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDA MICHEL Member 919-339-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |