| NPI | 1881628733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE JACKSON President 910-822-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C004576) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-09-28 |