| NPI | 1861929523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY KOTOFSKY Financial Services Representative 336-955-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-08-07 |