| NPI | 1891164869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R CLECKLER Licensend Clinical Social Worker 919-943-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NC C006034) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |