| NPI | 1902152564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DANIEL FEASEL Sole Proprieter 828-303-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c005637) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |