| NPI | 1912146028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS BRYAN Organizer And Member 910-671-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003928) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |